Monthly Archives: October 2015

Robotic Accutane Prescribing

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Welcome to the Akamai Skin Clinic’s Robotic Accutane Centre. We recognize that many dermatologists do not want the hassle or liability of prescribing Accutane (a.k.a. isotretinoin) and so, we have developed a novel prescription system. Our certified realistic humanoid isotretinoin robotic paraprofessionals will make your office visit pleasant, entertaining and efficient. These Accu-Bots (ABs) have been programmed to care for people with severe acne since the clinician-patient interaction for this indication is structured and predictable. Our ABs have high-resolution scanners to grade your acne and compare your progress with previous visits. They also have the entire PUBMed database of isotretinoin articles in their memory to enhance patient care. Here is … Continue reading →

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My Summer on Kauai

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by James Foong In the summer of my third year as a medical student from Malaysia, I had the opportunity to shadow Dr Paul Esaki, a primary care physician who practices in Kapaa, Kauai, Hawaii. I arrived in Kauai late at night tired after a few hours of flying (but many hours of waiting after a last minute flight change). Dr Esaki picked me up in a weathered 4×4 truck (I was expecting a conservative sedan for some reason). Right off the bat, there was warm hospitality and he gave me a lively talking commentary of the island while on route to the beach house where I was to stay. … Continue reading →

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My Goals in Medicine

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by James W. Foong I was asked to present this topic to a group of physicians and researchers at a medical conference in West Vancouver, British Columbia. What can I offer them that they do not already know? I felt that my talk could seem very self-centered, arrogant even. Such were my insecurities but out of sheer necessity, I began organizing my thoughts in an orderly manner for the presentation. What I realized was that the very reason we’re in this field gets lost amidst our hectic lives and the daily struggles that make us lose sight of our goals. Every once in a while, we may need a reminder … Continue reading →

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Skin Wars

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by Mr. B. In 2014, I won an insidious lottery: contracting Pityriasis Rubra Pilaris (PRP), a rare skin disease that one in 400,000 people get. After accepting this horrific verdict, I discovered I had a major choice. Do I take high-risk drugs in hope for a cure, after assuming a drug had initially caused my PRP? During the challenge of being alone in my struggle, I fortuitously discovered a special dermatologist. Dr. K respected my concerns about a conventional physician-patient relationship, and he followed my lead in selecting my treatment. The communication and trust we developed led to a slow, minimal treatment that after one year resulted in remission without … Continue reading →

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The Dao of the Red Man

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by Dr. K. In September of 2014, I saw Mr. B., a 68 years old man, with a wide-spread dermatitis that turned out to be pityriasis rubra pilaris (PRP).  He was miserable with generalized red skin, scaling and painfully thickened palms and soles.  My essay, “The Dao of the Red Man” describes our long and complicated therapeutic journey.  Mr. B. relates his personal PRP struggle  in “Skin Wars.”  The interested reader will learn much from reading and comparing  both Mr. B. and my narratives.  They speak to PRP, the physician-patient dyad, and shared-decision making. The Dao of the Red Man Skin Wars – Mr. B Also see: Skin Wars by … Continue reading →

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